New Beginnings | NB1-Office

Patient Name: Charles

Patient Information:

Patient ID: 9911

Patient First Name: Charles

Patient Date of Birth: 03-05-2024

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Karina L, Cecilio

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Bustillos, Natalia

FD - Feeding Therapy: Holguin, Valeria

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23049	Active	01-14-2026	06-13-2026	Tricare Prime	21	21	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26124	01-19-2026	Speech Initial Evaluation	F80.2
Speech Background History: Charles is a 1 year 9 month old male who was referred for speech and language therapy services by his pediatrician due to a speech delay. Charles was accompanied by mother, who served as the informant for this evaluation. Parent stated Charles uses less than 5 words (mama, dada, bubble), will babble, can sign “more”, and grabs/pulls caregiver and points to desired object to express his wants/needs. Charles's word inventory is all in English. A typically developing child of Charles's age should have approximately 50 words in their expressive vocabulary. Based on clinical observations, Charles’s current communication is characterized as 2 functional words, eyecontact, signed “more”, and/or pointed/grabbed the desired object to express his wants/needs. The Preschool Language Scales Fifth Edition (PLS5) English was used to evaluate Charles’s receptive and expressive language skills. Charles's mother stated that she uses English at home with him. She stated that Charles is primarily exposed to English. The language of intervention should be English.
Speech Medical History: Per parent report, medical history is not remarkable. Charles has not experienced any major illnesses or accidents that required hospitalization. Charles has not been diagnosed with any conditions or disorders.
Speech Medications: None
Speech Behavioral Observations:
Speech Communication Strengths: Easily separated from Parents,
Speech Communication Weaknesses: Diminished vocabulary, Poor use of eye contact,
Speech Background Summary:
Speech Diagnosis/Impressions: Charles is a 1 year 9 month old male who was referred for speech and language therapy services by his pediatrician due to a speech delay. Charles was accompanied by mother, who served as the informant for this evaluation. Parent stated Charles uses less than 5 words (mama, dada, bubble), will babble, can sign “more”, and grabs/pulls caregiver and points to desired object to express his wants/needs. Charles's word inventory is all in English. A typically developing child of Charles's age should have approximately 50 words in their expressive vocabulary. Based on clinical observations, Charles’s current communication is characterized as 2 functional words, eyecontact, signed “more”, and/or pointed/grabbed the desired object to express his wants/needs. The Preschool Language Scales Fifth Edition (PLS5) English was used to evaluate Charles’s receptive and expressive language skills. Charles's mother stated that she uses English at home with him. She stated that Charles is primarily exposed to English. The language of intervention should be English. Charles has not experienced any major illnesses or accidents that required hospitalization. Charles has not been diagnosed with any conditions or disorders. Received speech therapy in Maryland from June to October 2025. Pending feeding evaluation at New Beginnings. According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Charles presents with a MIXED SEVERE RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Charles would greatly benefit from speech therapy services that focus on the following concepts: following routine commands, joint attention, engaging with the clinician during play, total communication approach, imitating environmental sounds, and approximate consonant vowel combinations. An oral mechanism evaluation could not be completed due to Charles’s difficulty following directions. It is highly recommended that Charles’s assigned therapist follow up with an oral speech mechanism assessment to ensure the structure/function of the oral mechanism is adequate for speech/language development. RECOMMENDATIONS: Speech therapy at a frequency of 1x per week for 45 minutes per session is highly recommended at this time as Charles’s expressive and receptive language skills are NOT WITHIN FUNCTIONAL OR DEVELOPMENTAL LIMITS for his age/safety. Without speech therapy, Charles's safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Charles’s mother will be responsible for his Home Management Intervention Program (HMI).
Speech Diagnosis/Impressions: Charles is a 1 year 9 month old male who was referred for speech and language therapy services by his pediatrician due to a speech delay. Charles was accompanied by mother, who served as the informant for this evaluation. Parent stated Charles uses less than 5 words (mama, dada, bubble), will babble, can sign “more”, and grabs/pulls caregiver and points to desired object to express his wants/needs. Charles's word inventory is all in English. A typically developing child of Charles's age should have approximately 50 words in their expressive vocabulary. Based on clinical observations, Charles’s current communication is characterized as 2 functional words, eyecontact, signed “more”, and/or pointed/grabbed the desired object to express his wants/needs. The Preschool Language Scales Fifth Edition (PLS5) English was used to evaluate Charles’s receptive and expressive language skills. Charles's mother stated that she uses English at home with him. She stated that Charles is primarily exposed to English. The language of intervention should be English. Charles has not experienced any major illnesses or accidents that required hospitalization. Charles has not been diagnosed with any conditions or disorders. Received speech therapy in Maryland from June to October 2025. Pending feeding evaluation at New Beginnings. According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Charles presents with a MIXED SEVERE RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Charles would greatly benefit from speech therapy services that focus on the following concepts: following routine commands, joint attention, engaging with the clinician during play, total communication approach, imitating environmental sounds, and approximate consonant vowel combinations. An oral mechanism evaluation could not be completed due to Charles’s difficulty following directions. It is highly recommended that Charles’s assigned therapist follow up with an oral speech mechanism assessment to ensure the structure/function of the oral mechanism is adequate for speech/language development. RECOMMENDATIONS: Speech therapy at a frequency of 1x per week for 45 minutes per session is highly recommended at this time as Charles’s expressive and receptive language skills are NOT WITHIN FUNCTIONAL OR DEVELOPMENTAL LIMITS for his age/safety. Without speech therapy, Charles's safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Charles’s mother will be responsible for his Home Management Intervention Program (HMI).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

57965

Plan Date: 01-19-2026

Speech Assessment Summary: PATIENT HX: Charles is a 1 year 9 month old male who was referred for speech and language therapy services by his pediatrician due to a speech delay. Charles was accompanied by mother, who served as the informant for this evaluation. Parent stated Charles uses less than 5 words (mama, dada, bubble), will babble, can sign “more”, and grabs/pulls caregiver and points to desired object to express his wants/needs. Charles's word inventory is all in English. A typically developing child of Charles's age should have approximately 50 words in their expressive vocabulary. Based on clinical observations, Charles’s current communication is characterized as 2 functional words, eyecontact, signed “more”, and/or pointed/grabbed the desired object to express his wants/needs. The Preschool Language Scales Fifth Edition (PLS5) English was used to evaluate Charles’s receptive and expressive language skills. Charles's mother stated that she uses English at home with him. She stated that Charles is primarily exposed to English. The language of intervention should be English. MEDICAL HX: Charles has not experienced any major illnesses or accidents that required hospitalization. Charles has not been diagnosed with any conditions or disorders. Received speech therapy in Maryland from June to October 2025. Pending feeding evaluation at New Beginnings. LANGUAGE: According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Charles presents with a MIXED SEVERE RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Charles would greatly benefit from speech therapy services that focus on the following concepts: following routine commands, joint attention, engaging with the clinician during play, total communication approach, imitating environmental sounds, and approximate consonant vowel combinations. ORAL MECH EXAM: An oral mechanism evaluation could not be completed due to Charles’s difficulty following directions. It is highly recommended that Charles’s assigned therapist follow up with an oral speech mechanism assessment to ensure the structure/function of the oral mechanism is adequate for speech/language development. RECOMMENDATIONS: Speech therapy at a frequency of 1x per week for 45 minutes per session is highly recommended at this time as Charles’s expressive and receptive language skills are NOT WITHIN FUNCTIONAL OR DEVELOPMENTAL LIMITS for his age/safety. Without speech therapy, Charles's safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Charles’s mother will be responsible for his Home Management Intervention Program (HMI).

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Charles will be discharged when he achieves a standard score above 1.5 standard deviations from the mean for ALL impairments, indicating that his speech and language skills will be in the mild to average range, and he will have met all long-term therapy goals.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	Within 1 year, @ will improve his expressive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate use of functional language for daily use.
Receptive Language	Within 1 year, @ will improve his receptive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate understanding of language for daily use.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, Charles will follow 1-step commands (i.e., give me car, clean up food, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve comprehension of instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street).
Receptive Language	Within 6 months,Charles will practice joint attention with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that @ will receptively increase his language and eventually expressively.
Expressive Language	Within 6 months, Charles will imitate environmental sounds AND/OR speech sounds modeled by clinician during playbased tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Expressive Language	Within 6 months, Charles will communicate his wants and needs via total communication approach (e.g., spoken word + sign) with 60% accuracy when provided with fading cues across 3 consecutive session in order to promote independence when communicating with parents and caregivers and reduce frustration.
Expressive Language	Within 6 months, Charles will approximate consonant vowel combinations (CV, VC, CVC, etc.) modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Play/Socialization	Within 6 months, during pretend play tasks (i.e., feeding animals, driving vehicles, etc.) Charles will engage with clinician for at least 2-3 minutes using appropriate eyecontact in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development.

Speech and Language Soap Note/Visit:

Soap Note

488989

Note Date: 03-09-2026

Subjective: Patient needed frequent reminders to return to task,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents incorporated the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training optimized patients functional communication tasks in the home. Charles followed 1-step commands (i.e., give me car, clean up food, etc.) in 1 out of 10 opportunities when given maximum verbal cues. Charles practiced joint attention with 10% accuracy with decreasing multisensory cues when given maximum verbal cues. Charles imitated environmental sounds AND/OR speech sounds modeled by clinician during playbased tasks in 0 out of 10 opportunities when given maximum verbal cues. Charles communicated his wants and needs via total communication approach (e.g., spoken word + sign) with 10% accuracy when provided with fading cues when given maximum verbal cues. Charles approximated consonant vowel combinations (CV, VC, CVC, etc.) modeled by clinician in 1 out of 10 opportunities when given maximum verbal cues. During pretend play tasks (i.e., feeding animals, driving vehicles, etc.) Charles will engage with clinician for at least 2-3 minutes using appropriate eyecontact in 1 out of 10 opportunities

Plans: Continue with Speech Therapy,

Additional Notes:

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26147	01-28-2026	Feeding Initial Evaluation	R13.11, R63.32
Feeding Background History: Charles is a 1 year, 9-month-old male referred by his pediatrician for a feeding evaluation due to concerns with picky eating. His father and mother reports that Charles began displaying picky eating behaviors around 15 months of age when he began teething. A bedside feeding evaluation and skilled meal observation were completed to further assess her feeding and swallowing skills.
Feeding Medical History: Born at 33 weeks. Birth history is significant for third-trimester preeclampsia. Charles was delivered via C-section secondary to fetal heart rate decelerations. Charles has not been diagnosed with any conditions or disorders. According to Mom, Charles has a minor milk allergy.
Feeding Medications: None
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics were not assessed as this was not the purpose of the evaluation/referral.
Feeding Diagnosis/Impressions: Charles is a 1 year, 9-month-old male referred by his pediatrician for a feeding evaluation due to concerns with picky eating. His father and mother report that Charles began displaying picky eating behaviors around 15 months of age when he began teething. A bedside feeding evaluation and skilled meal observation were completed to further assess her feeding and swallowing skills. Born at 33 weeks. Birth history is significant for third-trimester preeclampsia. Charles was delivered via C-section secondary to fetal heart rate decelerations. Charles has not been diagnosed with any conditions or disorders. According to Mom, Charles has a minor milk allergy. A formal oral peripheral examination could not be completed due to Charles’s distractibility and difficulty following instructions. However, observable findings suggest that Charles presents with the oral structures necessary for feeding and swallowing. Oral mechanism function appeared intact, as evidenced by his ability to chew and swallow solid foods during meal observation. No tethered oral tissues were reported by his mother. Visualization of the palate was not possible at this time. It is recommended that Charles’s oral cavity be monitored throughout the course of treatment. A bedside swallow evaluation and skilled meal observation revealed that Charles presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures, tastes, and smells), and psychosocial (selective/restrictive eating ). Charles’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: Charles is reported to prefer foods with crunchy and soft consistencies and demonstrates strong preferences for salty, sweet, and flavored items. His appetite is variable day to day. Currently, his food inventory includes fewer than 30 accepted foods and 3 liquids, with the majority being carbs, snack-type items, and low in protein. Accepted proteins include chicken nuggets, fried chicken, beef, pork, bacon, sausage, fish, and scrambled eggs. Fruits include blueberries, strawberries, peaches, bananas, coconut, and mango. All fruits are preferred in a smoothie or yogurt. Vegetables include fried zucchini. Starches include crackers, chips, cheese puffs, pizza crusts, bread, biscuits, mac n cheese, french fries, waffles, tater rounds, potatoes wedges. Liquids include milk, drinkable yogurt, and water. Charles's mother expressed a desire for him to expand his intake to include more proteins and vegetables. Mother would like Charles to consume more vegetables, proteins, and fruit. NORM REFERENCED ASSESSMENT: Mrs. Atkins completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Charles received an overall rating of “no concern,” however, he received “concern” in the area of selective/restrictive eating. These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Charles was walking around the room and self-fed his preferred food items (French fries, chicken nuggets, and crackers). Mother reported that during mealtimes at home, Charles will sit in his high chair. When offered nonpreferred foods (grapes and veggies), Charles touched the grapes and proceeded to put them in the bag. With clinician and parental support, he smelled the grapes. Father mentioned Charles is receptive to touching non-preferred food at home, but will not interact with it at the level of his face. Parents reported the use of television during mealtimes. SWALLOW/ORAL MOTOR EVALUATION: Michael demonstrated an emerging rotary chewing pattern when consuming preferred food items, with some instances of openmouth chewing. Charles repeatedly pushed the French fries into his mouth with the use/support of fingers to manipulate food in his oral cavity. Emerging tongue lateralization was observed. No clinical signs or symptoms of aspiration or penetration were observed. His intake rate was slightly elevated, though manageable. According to Mrs. Atkins, there are no concerns with swallowing at home, no coughing, choking, or signs of distress during meals, and Charles has no history of aspiration pneumonia. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Charles’s CHRONIC PFD. Charles is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Charles’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Charles’s food repertoire by building on existing preferred foods. Without intervention, Charles may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Atkins will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58197

Plan Date: 01-28-2026

Feeding Assessment Summary: PATIENT HX: Charles is a 1 year, 9monthold male referred by his pediatrician for a feeding evaluation due to concerns with picky eating. His father and mother report that Charles began displaying picky eating behaviors around 15 months of age when he began teething. A bedside feeding evaluation and skilled meal observation were completed to further assess her feeding and swallowing skills. MEDICAL HX: Born at 33 weeks. Birth history is significant for thirdtrimester preeclampsia. Charles was delivered via Csection secondary to fetal heart rate decelerations. Charles has not been diagnosed with any conditions or disorders. According to Mom, Charles has a minor milk allergy. ORAL MECH EXAM: A formal oral peripheral examination could not be completed due to Charles’s distractibility and difficulty following instructions. However, observable findings suggest that Charles presents with the oral structures necessary for feeding and swallowing. Oral mechanism function appeared intact, as evidenced by his ability to chew and swallow solid foods during meal observation. No tethered oral tissues were reported by his mother. Visualization of the palate was not possible at this time. It is recommended that Charles’s oral cavity be monitored throughout the course of treatment. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal observation revealed that Charles presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not ageappropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures, tastes, and smells), and psychosocial (selective/restrictive eating ). Charles’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: Charles is reported to prefer foods with crunchy and soft consistencies and demonstrates strong preferences for salty, sweet, and flavored items. His appetite is variable day to day. Currently, his food inventory includes fewer than 30 accepted foods and 3 liquids, with the majority being carbs, snacktype items, and low in protein. Accepted proteins include chicken nuggets, fried chicken, beef, pork, bacon, sausage, fish, and scrambled eggs. Fruits include blueberries, strawberries, peaches, bananas, coconut, and mango. All fruits are preferred in a smoothie or yogurt. Vegetables include fried zucchini. Starches include crackers, chips, cheese puffs, pizza crusts, bread, biscuits, mac n cheese, french fries, waffles, tater rounds, potatoes wedges. Liquids include milk, drinkable yogurt, and water. Charles's mother expressed a desire for him to expand his intake to include more proteins and vegetables. Mother would like Charles to consume more vegetables, proteins, and fruit. NORM REFERENCED ASSESSMENT: Mrs. Atkins completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Charles received an overall rating of “no concern,” however, he received “concern” in the area of selective/restrictive eating. These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Charles was walking around the room and self?fed his preferred food items (French fries, chicken nuggets, and crackers). Mother reported that during mealtimes at home, Charles will sit in his high chair. When offered non?preferred foods (grapes and veggies), Charles touched the grapes and proceeded to put them in the bag. With clinician and parental support, he smelled the grapes. Father mentioned Charles is receptive to touching nonpreferred food at home, but will not interact with it at the level of his face. Parents reported the use of television during mealtimes. SWALLOW/ORAL MOTOR EVALUATION: Michael demonstrated an emerging rotary chewing pattern when consuming preferred food items, with some instances of open-mouth chewing. Charles repeatedly pushed the French fries into his mouth with the use/support of fingers to manipulate food in his oral cavity. Emerging tongue lateralization was observed. No clinical signs or symptoms of aspiration or penetration were observed. His intake rate was slightly elevated, though manageable. According to Mrs. Atkins, there are no concerns with swallowing at home, no coughing, choking, or signs of distress during meals, and Charles has no history of aspiration pneumonia. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30? minutes to address Charles’s CHRONIC PFD. Charles is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Charles’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Charles’s food repertoire by building on existing preferred foods. Without intervention, Charles may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Atkins will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Progress to Date: Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Charles will be discharged when his feeding inventory is clinically deemed adequate for his age, nutritional needs, and safety.

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support

Feeding Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Feeding/Swallowing	In 12 months, Charles will improve his feeding/swallowing skills in order to optimize safe and effective nutrition in 5 out of 10 trials across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Charles will tolerate and engage in sensory based oral motor play activities (e.g., vibration, chewy tube) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote improved oral sensory awareness for feeding/swallowing.
Feeding/Swallowing	In 6 months, Charles will interact with non preferred foods using his whole hands in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non?preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Charles will bring non preferred foods to his face to smell or touch in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non?preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Charles will complete oral motor exercises for ROTARY CHEW (e.g., chewy tube, hard munchables) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing. -In 6 months, Waylon will consume liquids via straw cup with 50% accuracy across 3 consecutive sessions in order to promote safe and effective feeding/swallowing.
Feeding/Swallowing	In 6 months, Charles will add 1-2 food chained items of higher level consistencies to his food inventory in order to improve nutritional value and variety of his food inventory.
Feeding/Swallowing	In 6 months, Charles’s mother will demonstrate understanding and implementation of the home feeding plan, including removing TV during mealtimes, food chaining, modeling during mealtimes, and supporting proper seated positioning, with 50% accuracy as measured by therapist observation and caregiver feedback across 3 consecutive sessions, to promote safe and efficient feeding and reduce choking risk.

Feeding Therapy Soap Note/Visit:

Soap Note

489020

Note Date: 03-09-2026

Subjective: Patient was alert and cooperative,Patient was alert and oriented,

Assessment of Goals/Response to Treatment: The patient presented to the session alert, oriented, and cooperative with all therapeutic activities. Intervention focused on improving oral sensory awareness and decreasing tactile aversion to support overall feeding and swallowing skills. Progress was made toward tolerating sensory-based oral motor play, with the patient independently engaging with tools such as a chewy tube and vibration in approximately 1 out of 10 opportunities presented, representing 30% progress toward the goal of consistent engagement in 3 out of 10 opportunities. To improve the acceptance and exploration of non-preferred foods, therapeutic activities targeted tactile interaction using his whole hands. Progress in this area remains limited, as the patient made brief contact with non-preferred food items infrequently, achieving approximately 20% of the targeted 3 out of 10 opportunities. Caregiver education was a primary component of the session, with a focus on demonstrating and implementing the home feeding plan. Strategies including the removal of TV during mealtimes, food chaining, positive mealtime modeling, and ensuring proper seated positioning were reviewed and modeled. Per caregiver report and direct observation, the family is beginning to implement these strategies, with continued support required to achieve consistent application with 50% accuracy to promote safe feeding and reduce choking risk. Continued skilled intervention is warranted to address oral sensory processing deficits and expand the patient's food repertoire through hierarchical exposure.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
873536	92523: Artic & Language Eval	01-19-2026 11:00 AM	01-19-2026 11:45 AM	Andrea Rodriguez	NB2 far east side	Completed
875221	92610: Feeding Evaluation	01-28-2026 11:30 AM	01-28-2026 12:15 PM	Andrea Rodriguez	NB2 far east side	Completed
876414	92507: Speech & Language Visit	01-29-2026 03:30 PM	01-29-2026 04:15 PM	Natalia Bustillos	NB2 far east side	Completed
876415	92507: Speech & Language Visit	02-05-2026 03:30 PM	02-05-2026 04:15 PM	Natalia Bustillos	NB2 far east side	Completed
887146	92526: Feeding Visit	02-16-2026 02:30 PM	02-16-2026 03:00 PM	Valeria Holguin	NB2 far east side	Completed
876416	92507: Speech & Language Visit	02-18-2026 08:45 AM	02-18-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Completed
887147	92526: Feeding Visit	02-23-2026 02:30 PM	02-23-2026 03:00 PM	Valeria Holguin	NB2 far east side	Completed
898640	92507: Speech & Language Visit	02-26-2026 01:00 PM	02-26-2026 01:45 PM	Natalia Bustillos	NB2 far east side	Completed
887148	92526: Feeding Visit	03-02-2026 02:30 PM	03-02-2026 03:00 PM	Valeria Holguin	NB2 far east side	Completed
876418	92507: Speech & Language Visit	03-04-2026 08:45 AM	03-04-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
884647	92507: Speech & Language Visit	02-11-2026 08:45 AM	02-11-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Canceled
876417	92507: Speech & Language Visit	02-25-2026 08:45 AM	02-25-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Canceled
887149	92526: Feeding Visit	03-09-2026 02:30 PM	03-09-2026 03:00 PM	Valeria Holguin	NB2 far east side	Canceled
876419	92507: Speech & Language Visit	03-11-2026 08:45 AM	03-11-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Canceled
887150	92526: Feeding Visit	03-16-2026 02:30 PM	03-16-2026 03:00 PM	Valeria Holguin	NB2 far east side	Canceled
876420	92507: Speech & Language Visit	03-18-2026 08:45 AM	03-18-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Canceled
887151	92526: Feeding Visit	03-23-2026 02:30 PM	03-23-2026 03:00 PM	Valeria Holguin	NB2 far east side	Canceled
876421	92507: Speech & Language Visit	03-25-2026 08:45 AM	03-25-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
887152	92526: Feeding Visit	03-30-2026 02:30 PM	03-30-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901552	92507: Speech & Language Visit	04-01-2026 08:45 AM	04-01-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887153	92526: Feeding Visit	04-06-2026 02:30 PM	04-06-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901553	92507: Speech & Language Visit	04-08-2026 08:45 AM	04-08-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887154	92526: Feeding Visit	04-13-2026 02:30 PM	04-13-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901554	92507: Speech & Language Visit	04-15-2026 08:45 AM	04-15-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887155	92526: Feeding Visit	04-20-2026 02:30 PM	04-20-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901555	92507: Speech & Language Visit	04-22-2026 08:45 AM	04-22-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887156	92526: Feeding Visit	04-27-2026 02:30 PM	04-27-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901556	92507: Speech & Language Visit	04-29-2026 08:45 AM	04-29-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887157	92526: Feeding Visit	05-04-2026 02:30 PM	05-04-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901557	92507: Speech & Language Visit	05-06-2026 08:45 AM	05-06-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887158	92526: Feeding Visit	05-11-2026 02:30 PM	05-11-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901558	92507: Speech & Language Visit	05-13-2026 08:45 AM	05-13-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887159	92526: Feeding Visit	05-18-2026 02:30 PM	05-18-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901559	92507: Speech & Language Visit	05-20-2026 08:45 AM	05-20-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887160	92526: Feeding Visit	05-25-2026 02:30 PM	05-25-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901560	92507: Speech & Language Visit	05-27-2026 08:45 AM	05-27-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887161	92526: Feeding Visit	06-01-2026 02:30 PM	06-01-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901561	92507: Speech & Language Visit	06-03-2026 08:45 AM	06-03-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled
887162	92526: Feeding Visit	06-08-2026 02:30 PM	06-08-2026 03:00 PM	Valeria Holguin	NB2 far east side	Scheduled
901562	92507: Speech & Language Visit	06-10-2026 08:45 AM	06-10-2026 09:30 AM	Natalia Bustillos	NB2 far east side	Scheduled

Paient Notes:

Date	Posted By	Description
03-23-2026	Natalia Bustillos	Sent parent message on 3/15/2026 regarding makeup for the day that clinician would be out of office for SOS training "Natalia Bustillos 3/15/2026 8:03 PM Good afternoon, Hope all is well. I am reaching out because I will be out of offie march 25th and won't be able to see Charles that day. I wanted to see if it would be possible to see him Tuesday March 24th at 8:30? Thank you (:". Clinician did not receive reply back.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-25-2026	92507	Bustillos, Natalia
03-23-2026	92526	Holguin, Valeria
03-18-2026	92507	Bustillos, Natalia
03-16-2026	92526	Holguin, Valeria
03-11-2026	92507	Bustillos, Natalia
03-09-2026	92526	Holguin, Valeria
02-25-2026	92507	Bustillos, Natalia
02-11-2026	92507	Bustillos, Natalia

Paient Messages Admin:

Date	Posted By	Message
01-13-2026 12:20 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings Pediatric Therapy services and I reaching out to see if you are still interested in receiving services?
01-13-2026 12:45 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2529
01-13-2026 12:53 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2529
01-13-2026 01:49 PM	Patsy Guajardo	Charles has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9911&type=1&wid=486
01-13-2026 01:54 PM	Charles Atkins IV	Schedule Evaluation: Patient Charles Atkins IV needs help!
01-13-2026 01:54 PM	Charles Atkins IV	Schedule Evaluation: Patient Charles Atkins IV needs help!
01-13-2026 01:54 PM	Charles Atkins IV	Schedule Evaluation: Patient Charles Atkins IV needs help!
01-13-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Charles's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9911&type=1&wid=486
01-14-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9911
01-14-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Charles's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9911&type=1&wid=486
01-15-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9911
01-16-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9911
01-17-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9911
01-18-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9911
01-19-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9911
01-20-2026 11:53 AM	Patsy Guajardo	Hi, Charles as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Natalia https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9911&tid=142
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
01-30-2026 02:28 PM	Patsy Guajardo	Hi, Charles as been assigned a therapist for Feeding therapy. Here's a link to learn more about Valeria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9911&tid=138
02-03-2026 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9911
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9911
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
01-14-2026 07:29 PM	Andrea Rodriguez	Good afternoon this is Andrea from New Beginnings. I will be completing Charles’s speech evaluation. I am messaging from our patient portal which is a secure texting-only system. I am reaching out to schedule our evaluation appointment. Would you be available Monday, the 19th, at 11:00 am?
01-14-2026 07:41 PM	Charles Atkins IV	Charles (Prim) Replied: Yes we are
01-14-2026 07:41 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-14-2026 08:00 PM	Andrea Rodriguez	Perfect!
01-14-2026 08:01 PM	Andrea Rodriguez	Speech History Questionnaire for Charles: 1.) Name and DOB 2.) Any complications with pregnancy or birth? Vaginal or cesarean birth? Passed newborn hearing screening? 3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)? 4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, first words?
01-14-2026 08:01 PM	Andrea Rodriguez	5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils? 6.) Education history (i.e., attends daycare, preschool, etc.)? 7.) Vision or hearing issues? 8.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
01-14-2026 08:01 PM	Andrea Rodriguez	I have sent you a brief questionnaire to complete in preparation for the evaluation. Please send me your answers whenever you have a moment. Thank you! Just a reminder, our address is 3551 Rich Beem Blvd, Unit B.
01-15-2026 09:46 AM	Andrea Rodriguez	Good morning! I will also be conducting Charles's feeding evaluation. Monday when I see you I can let you know what openings I have to schedule his feeding evaluation. Have a goo day! :)
01-18-2026 04:26 PM	Andrea Rodriguez	Good afternoon! Just a reminder to please send me the your answers to the questionnaire before the evaluation. Thank you so much!
01-18-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Charles has a Speech Evaluation appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 07:21 AM	Charles Atkins IV	Charles (Prim) Replied: Morning, 1. Charles Atkins IV 05 March 2024 2. No complications, C Section, Yes 3. No 4. Crawl 9 months Sat Up 6 months Stood Up 11 months Walked 1 year Fed Self 1 yesr Dressed Self No but helps Potty Trained No First Words 18 months 5. No, Yes, Sometimes, Yes, No 6. Daycare 7. No 8. Only say Dada and mama. Would like him to be able to communicate
01-19-2026 07:57 AM	Andrea Rodriguez	Hi, this is a just a reminder that Charles has a Speech Evaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 10:45 AM	Andrea Rodriguez	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873536
01-19-2026 11:58 AM	Andrea Rodriguez	Hi! This is Andrea from New Beginnings. Here is a brief summary from the evaluation. According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Charles presents with a MIXED SEVERE RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Charles would greatly benefit from speech therapy services that focus on the following concepts: following routine commands, joint attention, engaging with the clinician during play, total communication approach, imitating environmental sounds, and approximate consonant vowel combinations.
01-19-2026 11:58 AM	Andrea Rodriguez	Once the office has processed the report, obtained the needed signatures, and insurance approves the report, the treating clinician will reach out to you to schedule your first session. If you have any questions, please reach out.
01-19-2026 11:58 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/01192026115843-Feeding-Patient-Background---English.pdf
01-19-2026 11:59 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/01192026115905-Food-Chaining-Intake-Form---English.pdf
01-19-2026 11:59 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/01192026115929-PediEAT_Full_English_2019-7-31.pdf
01-19-2026 12:00 PM	Andrea Rodriguez	Please let me know if you received the three feeding forms. In the PediEat, please disregard the scoring portion. Thank you!
01-20-2026 12:40 PM	Natalia Bustillos	Good afternoon, this is Natalia Bustillos from New Beginnings. I will be Charles Speech therapist. I am reaching out to introduce myself as well as to schedule therapy for charles. Front desk informed me that you were looking for an 8 or 9 am slot on Wednesday and Thursday available. Unfortunately at this time I don't have any available. I will be having an opening for an 8:30 am slot the week of feburary 11.
01-20-2026 12:43 PM	Charles Atkins IV	Charles (Prim) Replied: Charles will be out of time town that week. Do you have any appointments available earlier? My husband I can adjust our schedule to make it work
01-20-2026 12:46 PM	Natalia Bustillos	As of right now all of my early morning sessions are booked. I apologize for the inconvenience. I will have a Wednesday slot available which is 8:30-9:15 but it won't be available until feburary 11.
01-20-2026 12:48 PM	Charles Atkins IV	Charles (Prim) Replied: Okay, do you have any afternoons available on other days? What is your availability the week of 15FEB when Charles returns?
01-20-2026 01:02 PM	Natalia Bustillos	I have Tuesday 3:15 available, Thursday 3:30 available. Quick question, what dates will charles be out of town?
01-20-2026 01:04 PM	Natalia Bustillos	That week of feburary 15th when charles comes back I will have an early slot available by then which is the 8:30-9:15 (:
01-20-2026 01:06 PM	Charles Atkins IV	Charles (Prim) Replied: He will be out of town from FEB 7-14, so can we do a 830 that week?
01-20-2026 01:07 PM	Charles Atkins IV	Charles (Prim) Replied: Great and we can do the Thursday at 330. To clarify is that the 29th?
01-20-2026 01:13 PM	Natalia Bustillos	Yes! I'll go ahead and schedule him for 3:30 on Thursday Jan. 29th and Feb 5th. Once he comes back from out of town I can start seeing him Wednesday at 8:30 which would be Feb. 18(:
01-20-2026 01:15 PM	Charles Atkins IV	Charles (Prim) Replied: ❤️ to “ Yes! I'll go ahead and schedule him for 3:30 on Thursday Jan. 29th and Feb 5th. Once he comes back from out of town I can start seeing him Wednesday at 8:30 which would be Feb. 18(: ”
01-20-2026 01:16 PM	Natalia Bustillos	I apologize it would be Wednesday at 8:45. I got mixed up with the times.
01-20-2026 01:16 PM	Charles Atkins IV	Charles (Prim) Replied: Sounds good
01-20-2026 01:58 PM	Natalia Bustillos	Perfect! Thank you so much. Looking forward to meeting you and working with Charles (:
01-25-2026 04:03 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 01-29-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 06:01 PM	Charles Atkins IV	Charles (Prim) Replied: Yes
01-25-2026 06:01 PM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-26-2026 11:55 AM	Andrea Rodriguez	Hi! I will see you on Wednesday at 11:30 am for Charles's feeding evaluation. Just a reminder to please bring out the 3 forms completed, as well as 3 preferred and 3 non-preferred food items. Portions can be small. Thank you :)
01-26-2026 11:56 AM	Charles Atkins IV	Charles (Prim) Replied: See you then
01-27-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Charles has a Feeding Evaluation appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
01-28-2026 07:57 AM	Andrea Rodriguez	Hi, this is a just a reminder that Charles has a Feeding Evaluation appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
01-28-2026 11:15 AM	Andrea Rodriguez	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875221
01-28-2026 12:09 PM	Andrea Rodriguez	The goal of family meals is to focus on the volume of foods consumed, with exposure to unfamiliar or unaccepted food as a secondary goal. Our goal for these meals will not be to consume non-preferred foods but to start tolerating them at the level of fingers and face. Throughout the meal, you can emphasize things like 'I am touching the chicken with my fingers' or 'I will smell the grapes'. Our goal is for him to start tolerating food around him without any pressure, eventually leading to him interacting with it at the level of his oral cavity. These family meals should be performed once per day. Pick a time that works best for you where you can all model behaviors.
01-28-2026 12:10 PM	Andrea Rodriguez	You can begin family meals with the following. Try to have meals at a scheduled time, so that he knows what to expect. Children typically learn best with structure. 1. Give a verbal warning prior to mealtimes (5-minute warning) - This prepares for the sensory input shift, allowing him to take on a new task. 2. Introduce transition activity (washing his hands) -Input for calming and washing for tactile preparation. 3. Sit at the table - Start with an empty tray/plate to decrease frustration before meals. - Check his seat so he is positioned 90 degrees at the hips, knees, and ankles. We want to make sure his feet have support. You may need to adjust the footrest or place towels or any item that can help with support. - It may be useful to make a change to where people sit at the table, to change the visual environment, and avoid negative cues that may have been formed previously.
01-28-2026 12:11 PM	Andrea Rodriguez	4. Family-style serving - Place all food items in the center of the table. - Everyone has to take some of each food offered - Make sure there are at least 2 preferred items so he can have something to eat. 5. Everybody eats for the first 10 minutes - The focus of the meal should be the food - Goal for parents is to be good role models, have pleasant conversations, and to let him do what he can by himself. - We want to avoid giving him negative feedback during mealtimes. Praise if any good attempts are made.
01-28-2026 12:11 PM	Andrea Rodriguez	6. Offer a drink (if needed and/or not eating) - If not eating, you can offer a drink to help Charles engage with food. 7. After 20 minutes, if he is still not eating, you can introduce him to a preferred item (iPad, preferred toy, TV) - This will allow you and Charles to be weaned off the TV with time rather than just removing the item at once. 8. After 30 minutes, begin the clean-up routine. - Have everyone empty their plate into a bowl/trash can - If he has been eating all along and is done eating sooner, do clean up sooner - If he really cannot sit any longer, you may need to do clean up earlier.
01-28-2026 12:12 PM	Andrea Rodriguez	Please let me know if you received all 8 steps as the system sometimes does not process long texts. Thank you!
01-28-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
01-29-2026 07:54 AM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-29-2026 08:01 AM	Charles Atkins IV	Charles (Prim) Replied: See you then
01-29-2026 02:23 PM	Andrea Rodriguez	Hi! Just a reminder to bring the feeding paperwork today, thank you! Let me know if you received the messages I sent yesterday. Sometimes the system has trouble processing long texts. Thank you!
01-29-2026 03:15 PM	Natalia Bustillos	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876414
01-30-2026 04:44 PM	Natalia Bustillos	Good afternoon, Hope all is well. I apologize for the delay in getting the worksheet out to you. The worksheet I will send in a separate message is regarding what we had discussed in the previous session about joint attention. It gives a broad overview and it gives some tips and tricks. If you have any questions please let me know. Thank you, hope you all have a great weekend (:
01-30-2026 04:44 PM	Natalia Bustillos	https://st-pros.com/newbeginnings/documents/01302026164450-01192026103951-ParentEducationJointAttention-1.pdf
02-01-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 02-05-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 09:02 PM	Charles Atkins IV	Charles (Prim) Replied: YES
02-01-2026 09:02 PM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-02-2026 07:55 AM	Natalia Bustillos	Good morning, I have sent over a link that requires a signature for last week’s visit. If you could complete it at your earliest convenience. Thank you (:
02-02-2026 09:48 AM	Charles Atkins IV	Charles (Prim) Replied: Done
02-04-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
02-05-2026 07:53 AM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
02-05-2026 03:15 PM	Natalia Bustillos	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876415
02-05-2026 04:56 PM	Valeria Holguin	Hi! My name is Valeria, Ill be Charle's feeding therapist. I wanted to reach out to introduce myself as well as to offer Mondays at 2:30 for his feeding appointments. please let me know if this time/day works for you! thank you
02-05-2026 05:04 PM	Charles Atkins IV	Charles (Prim) Replied: That will work starting the 16th of FEB. He will be out of town from 7-15FEB
02-05-2026 05:13 PM	Valeria Holguin	ok sounds good, thank you so much!
02-08-2026 04:03 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 02-11-2026 at 8:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:04 PM	Charles Atkins IV	Charles (Prim) Replied: No, we scheduled an appointment on the 18th.
02-08-2026 04:04 PM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 04:13 PM	Natalia Bustillos	Natalia Bustillos CANCELLED: 8:45AM-2/11/2026 92507: Speech & Language Visit
02-09-2026 07:14 AM	Natalia Bustillos	Good morning! Hope all is well. I am reaching out because I am missing a signature from last week’s visit. If you could please complete it at your earliest convenience! Thank you😊
02-15-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Atkins IV, Charles has a Feeding Therapy appointment on 02-16-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 02-18-2026 at 8:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
02-15-2026 06:32 PM	Charles Atkins IV	Charles (Prim) Replied: YES
02-15-2026 06:32 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 08:07 PM	Charles Atkins IV	Charles (Prim) Replied: Yes
02-15-2026 08:07 PM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-16-2026 07:50 AM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
02-16-2026 01:09 PM	Valeria Holguin	Hi! Just as a reminder can you bring a preferred food item and one that we will work on today please:)
02-16-2026 02:15 PM	Valeria Holguin	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887146
02-16-2026 02:24 PM	Charles Atkins IV	Charles is CHECKED IN for: 2:30PM-2/16/2026 92526: Feeding Visit
02-17-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled tomorrow at 08:45 AM. See you soon! - New Beginnings 🙂
02-18-2026 07:48 AM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled today at 08:45 AM. See you soon! - New Beginnings 🙂
02-18-2026 08:30 AM	Natalia Bustillos	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876416
02-18-2026 08:32 AM	Charles Atkins IV	Charles is CHECKED IN for: 8:45AM-2/18/2026 92507: Speech & Language Visit
02-20-2026 04:22 PM	Charles Atkins IV	Charles (Prim) Replied: Hi when is the next feeding appointment scheduled for?
02-20-2026 04:22 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-20-2026 04:23 PM	Charles Atkins IV	Charles (Prim) Replied: Hi when is the next feeding appointment scheduled for?
02-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Atkins IV, Charles has a Feeding Therapy appointment on 02-23-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:03 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 02-25-2026 at 8:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:52 PM	Charles Atkins IV	Charles (Prim) Replied: Yes
02-22-2026 04:52 PM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 04:52 PM	Charles Atkins IV	Charles (Prim) Replied: Yes
02-22-2026 04:52 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 09:17 AM	Valeria Holguin	Hi! I’m missing signature for note from last week please!:)
02-23-2026 10:36 AM	Natalia Bustillos	Good morning, Hope all is well. I apologize my delay in getting these worksheets to you. One of them are activities for targeting joint attention and the other one is activities that you can try at home for targeting gestures. If you have any questions please do not hesitate to reach out. Hope you all have a lovely day. Thank you (:
02-23-2026 10:36 AM	Natalia Bustillos	https://st-pros.com/newbeginnings/documents/02232026103649-01302026160327-Screen-Shot-2026-01-29-at-11.56.12-AM.pdf
02-23-2026 10:37 AM	Natalia Bustillos	https://st-pros.com/newbeginnings/documents/02232026103703-Screen-Shot-2026-02-23-at-10.35.34-AM.png
02-23-2026 02:15 PM	Valeria Holguin	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887147
02-23-2026 03:00 PM	Valeria Holguin	im so sorry! I just realized i didnt give you the crackers back! I can keep them here for next week:)
02-24-2026 09:22 AM	Charles Atkins IV	Charles (Prim) Replied: 👍 to “ im so sorry! I just realized i didnt give you the crackers back! I can keep them here for next week:) ”
02-24-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled tomorrow at 08:45 AM. See you soon! - New Beginnings 🙂
02-24-2026 06:49 PM	Charles Atkins IV	Charles (Prim) Replied: Can we please reschedule?
02-24-2026 08:05 PM	Natalia Bustillos	Good evening! Yes definitely, no problem at all! I have this Thursday at 1:00 PM available for a makeup. Let me know if that’s works for you please(:
02-24-2026 08:06 PM	Natalia Bustillos	Natalia Bustillos CANCELLED: 8:45AM-2/25/2026 92507: Speech & Language Visit
02-25-2026 12:41 AM	Charles Atkins IV	Charles (Prim) Replied: That works
02-25-2026 12:41 AM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-25-2026 08:13 AM	Natalia Bustillos	Perfect! I went ahead and scheduled it(:
02-25-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 06:31 PM	Charles Atkins IV	Charles (Prim) Replied: See you then
02-26-2026 08:04 AM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-26-2026 12:45 PM	Natalia Bustillos	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=898640
03-01-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Atkins IV, Charles has a Feeding Therapy appointment on 03-02-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 03-04-2026 at 8:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
03-01-2026 08:49 PM	Charles Atkins IV	Charles (Prim) Replied: Yes
03-01-2026 08:49 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-02-2026 07:49 AM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
03-02-2026 12:19 PM	Valeria Holguin	https://st-pros.com/newbeginnings/documents/03022026121936-Food-Chaining--A-Parent’s-Guide-to-Expanding-Your-Child’s-Diet.pdf
03-02-2026 02:15 PM	Valeria Holguin	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887148
03-02-2026 02:33 PM	Valeria Holguin	Hi! Are you on your way?:)
03-02-2026 02:43 PM	Charles Atkins IV	Charles (Prim) Replied: Are they there?
03-03-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled tomorrow at 08:45 AM. See you soon! - New Beginnings 🙂
03-04-2026 07:45 AM	Natalia Bustillos	Hi, this is a just a reminder that Charles has a Speech Therapy appointment scheduled today at 08:45 AM. See you soon! - New Beginnings 🙂
03-04-2026 08:30 AM	Natalia Bustillos	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876418
03-04-2026 08:38 AM	Charles Atkins IV	Charles is CHECKED IN for: 8:45AM-3/4/2026 92507: Speech & Language Visit
03-06-2026 06:05 PM	Natalia Bustillos	Good evening, hope all is well. Reaching out to inform you that I will be out of office from March 25-March 30 for a training. I will be reaching out to you in the upcoming weeks in regards to makeup sessions for the missed visits. Thank you so much! (:
03-06-2026 06:10 PM	Natalia Bustillos	Good evening, there was a mix up with the dates and I will be out of office for a training from March 25-March 31. I will be reaching out to you all individually to coordinate makeup visits for those days! Thank you all(:
03-08-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Atkins IV, Charles has a Feeding Therapy appointment on 03-09-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 03-11-2026 at 8:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:13 PM	Natalia Bustillos	Good afternoon, I am reaching out because I am missing a signature from last week’s visit. I resent the link. If you could sign at your earliest convenience. Thank you😊
03-08-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
03-08-2026 07:06 PM	Charles Atkins IV	Charles (Prim) Replied: Yes, also we will be out of town next Monday
03-08-2026 07:06 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 07:11 PM	Charles Atkins IV	Charles (Prim) Replied: No and he will be out of town next Wednesday as well
03-08-2026 07:11 PM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 07:13 PM	Natalia Bustillos	Thank you for letting me know. Just confirming he won’t be at this week’s session and next weeks?
03-08-2026 07:13 PM	Charles Atkins IV	Charles (Prim) Replied: Yes that is correct
03-08-2026 07:13 PM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 07:14 PM	Natalia Bustillos	Natalia Bustillos CANCELLED: 8:45AM-3/11/2026 92507: Speech & Language Visit
03-08-2026 07:15 PM	Natalia Bustillos	Natalia Bustillos CANCELLED: 8:45AM-3/18/2026 92507: Speech & Language Visit
03-09-2026 07:16 AM	Natalia Bustillos	Good morning, I am reaching out because I am missing a signature from last week’s visit. I resent the link. If you could sign at your earliest convenience. Thank you😊
03-09-2026 07:46 AM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:51 AM	Charles Atkins IV	Charles (Prim) Replied: I'm sorry, can we cancel his appointment today? Charles has a fever, and I dont see it breaking before his appointment
03-09-2026 08:47 AM	Valeria Holguin	Good morning! Oh no ok thank you for letting me know! We can reschedule later on in the week if he feels better:)
03-09-2026 08:48 AM	Valeria Holguin	Also, I’m missing signature from last week please:)
03-09-2026 09:17 AM	Valeria Holguin	Valeria Holguin CANCELLED: 2:30PM-3/9/2026 92526: Feeding Visit
03-15-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Atkins IV, Charles has a Feeding Therapy appointment on 03-16-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:54 PM	Charles Atkins IV	Charles (Prim) Replied: Hi, Cuatro is currently on vacation and won't be back until Thursday
03-15-2026 04:54 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 05:41 PM	Charles Atkins IV	Charles (Prim) Replied: NO
03-15-2026 05:41 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:20 PM	Natalia Bustillos	Good afternoon, Hope all is well. I am reaching out because I will be out of offie march 25th and won't be able to see Charles that day. I wanted to see if it would be possible to see him Tuesday March 24th at 8:30? Thank you (:
03-15-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
03-15-2026 07:51 PM	Charles Atkins IV	Charles (Prim) Replied: No, please cancel. Cuatro is currently on vacation and won't be back until Thursday
03-15-2026 07:51 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 08:03 PM	Natalia Bustillos	Good afternoon, Hope all is well. I am reaching out because I will be out of offie march 25th and won't be able to see Charles that day. I wanted to see if it would be possible to see him Tuesday March 24th at 8:30? Thank you (:
03-16-2026 07:45 AM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
03-16-2026 07:56 AM	Valeria Holguin	Valeria Holguin CANCELLED: 2:30PM-3/16/2026 92526: Feeding Visit
03-16-2026 11:13 AM	Natalia Bustillos	Natalia Bustillos CANCELLED: 8:45AM-3/25/2026 92507: Speech & Language Visit
03-16-2026 11:19 AM	Natalia Bustillos	Good morning families, Hope all is well! this is just a friendly reminder that I will be out of office from March 25-March 31st for a training. You will be receiving notifications of cancelled appointments which will be for the dates that I am out. I will message each one of you individually to coordinate a makeup. Thank you so much for your understanding.
03-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Atkins IV, Charles has a Feeding Therapy appointment on 03-23-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:23 PM	Charles Atkins IV	Charles (Prim) Replied: YES
03-22-2026 06:23 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:47 AM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
03-23-2026 11:55 AM	Charles Atkins IV	Charles (Prim) Replied: NO
03-23-2026 11:57 AM	Charles Atkins IV	Charles (Prim) Replied: Need to reschedule
03-23-2026 12:16 PM	Valeria Holguin	Hi! It will count as a non-compliance due to being in less than 24 hour notification. I also wanted to ask what times/days would work best for makes up since his attendance needs to improve please
03-23-2026 12:17 PM	Valeria Holguin	Valeria Holguin CANCELLED: 2:30PM-3/23/2026 92526: Feeding Visit
03-23-2026 12:19 PM	Charles Atkins IV	Charles (Prim) Replied: Is there any availability in the mornings?
03-23-2026 12:27 PM	Valeria Holguin	to change his schedule or just for makeups?
03-23-2026 12:32 PM	Charles Atkins IV	Charles (Prim) Replied: Both, I can keep the 1430 appointments until you have openings in the morning. I would also like to catch this week, since he was sick/on vacation the last 2 weeks.
03-23-2026 12:36 PM	Valeria Holguin	i have wednesday at 10:00am for this week. However the following weeks ill let you know if something in the mornings opens up:) if thats ok
03-23-2026 12:36 PM	Charles Atkins IV	Charles (Prim) Replied: That's perfect
03-23-2026 12:44 PM	Valeria Holguin	awesome thanks!!
03-24-2026 05:19 AM	Charles Atkins IV	Charles (Prim) Replied: Im sorry we were traveling last week and I did not see this. Do you have any other availability this week?
03-24-2026 05:19 AM	Natalia Bustillos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-24-2026 08:11 AM	Natalia Bustillos	Good morning, I unfortunately do not have any other availability this week as I will be out of town for a training!
03-24-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 06:31 PM	Charles Atkins IV	Charles (Prim) Replied: See you then
03-25-2026 08:00 AM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 09:45 AM	Valeria Holguin	Charles Atkins IV : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=912178
03-25-2026 09:53 AM	Charles Atkins IV	Charles is CHECKED IN for: 10:00AM-3/25/2026 92526: Feeding Visit
03-25-2026 10:05 AM	Valeria Holguin	Good morning! Are you close by?:)
03-29-2026 04:03 PM	Valeria Holguin	Hi, this is a just a reminder that Atkins IV, Charles has a Feeding Therapy appointment on 03-30-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 04:03 PM	Natalia Bustillos	Hi, this is a just a reminder that Atkins IV, Charles has a Speech Therapy appointment on 04-01-2026 at 8:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 04:51 PM	Charles Atkins IV	Charles (Prim) Replied: YES
03-29-2026 04:51 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-29-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Charles has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂